Richard D Ullery JR., DDS

NPI #1689777146 in Casper, Wyoming

Provider Information

NPI Number: 1689777146
Entity Type: Individual
Name: Richard D Ullery JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1972 E 1ST ST
City: Casper
State: Wyoming
ZIP Code: 82601-2747
Phone: (307) 577-4944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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